OBGYN Dunn

Question 1

what 4 substances does the Quad Screen test

Answer 1

AFP
HCG
Estriol
Inhibin A

Question 2

On quad screen
Decreased=AFP, b-HCG, estriol
Normal=inhibinA
Severe mental retardation, rocker bottom feet, micrognathia, low set ears, clenched hands, prominent occiput
50% of babies die within the first week life
Most live between 5-15 days
Only 8% live beyond 1 year

Answer 2

trisomy 18 Edward syndrome

Question 3

On quad screen
Decreased=AFP, estriol
Increased=b-HCG, inhibin A

Answer 3

Trisomy 21 Down

Question 4

quad screen most often normal
B-HCG will be decreased

Severe mental retardation, rocker bottom feet, microcephaly, cleft lip, cleft palate, holoprosencephaly, polydactly

Answer 4

Trisomy 13
Patau’s syndrome

median survival is 2.5 days

Question 5

what are some things that are of equal risk in happening with both C- section and vaginal delivery

Answer 5

postpartum hemorrhage
endometritis
genital tract injury 
fecal incontinence 
postnatal depression 
back pain
dyspareunia

Question 6

does the length of the second stage influence neonatal and maternal outcomes ?

Answer 6

yes!!

> 4 hours second stage